America Needs Club Kids... Club Kids Need You!

Heartland Needs Club Kids... Club Kids Needs YOU!

When you make a gift of any amount to Boys & Girls Clubs of the Heartland, you open doors for future-ready leaders who will propel our community forward.

Name

First Name *

Last Name *

Address

Country

Address Line 1 *

City *

State/Province *

Postal Code *

Phone

Email

Best Form of Contact

1. Text
2. Email
3. Phone Call
4. Do Not Contact Me

Donation Amount

1. $25.00
2. $50.00
3. $75.00
4. $100.00
5. Custom Amount
   Custom Amount

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Please designate my donation to:

1. Regional Workforce Development Teen Center
2. Where Needed Most
3. Specific School or Community
4. In Memory/Honor Of

Indicate school, community or in memory/honor of below:

Credit Card Information

Cardholder Name

Credit Card #

Expiration Date

Security Code

Make this a recurring payment?

1. No, this is a one-time payment.
2. Monthly

Make this a recurring payment?

Cover the fee associated with this online transaction?

1. Yes, I will pay an additional {transaction_fee} to cover the cost of this transaction.

Cover the fee associated with this online transaction?

Your total payment will be .

Your credit balance will cover

Your credit card will be charged

Your bank account will be charged